{
  "abstract": "Background Engaging patients in surgical safety is challenging and has not been thoroughly investigated. Although surgical checklists and other safety protocols have been introduced across various surgical fields, preventable adverse events still occur, highlighting the need for additional research. A Patient’s Safety Checklist (PASC) has been developed and validated for use by surgical patients. Its effect on patient safety and patient outcomes is currently being investigated in a Stepped Wedge Cluster Randomised Controlled Trial ( NCT03105713). In connection with this trial, we have examined elective patients’ experiences with using the PASC.Methods An exploratory qualitative study was conducted based on individual in-depth telephone interviews with 31 elective surgical patients. The interviews were carried out across three Norwegian hospitals including seven surgical specialties. The patients interviewed were part of the trial’s intervention arm and had used PASC. The interviews were transcribed verbatim, and reflective thematic analysis was applied.Result Three themes were identified in the data: patient awareness, patient actions and utility value. Patients perceived PASC to increase awareness around surgical information, preparations, what to speak up about and which information to seek and repeat. This awareness led to a series of actions, such as ensuring medication control, optimising their own health, contacting healthcare professionals, asking questions, and for some no actions were needed. Patients perceived PASC to have high utility value for their surgical preparation.Conclusions The PASC enhanced patients’ involvement in surgical care and safety by ensuring they received systematic, accurate, clear, and understandable information and instructions throughout the surgical pathway. It is one of the few existing interventions that specifically focuses on assisting patients in preparing for surgery and managing their recovery. Further research is needed on the implementation of PASC and its adaptation to other clinical settings.Trial registration number NCT03105713.",
  "authors": [
    {
      "affiliations": [
        "Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway",
        "Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway"
      ],
      "name": "Kristin Harris"
    },
    {
      "affiliations": [
        "Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway",
        "Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway",
        "Department of Research and Development, Haukeland University Hospital, Bergen, Norway"
      ],
      "name": "Hilde Valen Wæhle"
    },
    {
      "affiliations": [
        "Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway",
        "Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway",
        "Department of Research and Development, Haukeland University Hospital, Bergen, Norway"
      ],
      "name": "Anette Storesund"
    },
    {
      "affiliations": [
        "Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway",
        "Department of Clinical Medicine, University of Bergen, Bergen, Norway"
      ],
      "name": "Stig Harthug"
    },
    {
      "affiliations": [
        "Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway",
        "Department of Clinical Medicine, University of Bergen, Bergen, Norway"
      ],
      "name": "Randi Julie Tangvik"
    },
    {
      "affiliations": [
        "Department of Breast and Endocrine Surgery, Haukeland University Hospital, Bergen, Norway"
      ],
      "name": "Denisa Monsen Lukcova"
    },
    {
      "affiliations": [
        "Department of Heart Disease, Section of Cardiothoracic Surgery, Haukeland University Hospital, Bergen, Norway"
      ],
      "name": "Wenche Håvik"
    },
    {
      "affiliations": [
        "Department of Neurosurgery, Haukeland University Hospital, Bergen, Norway"
      ],
      "name": "Åse Humberset"
    },
    {
      "affiliations": [
        "Department of Surgery, Helse Førde HF, Førde, Norway"
      ],
      "name": "Evelyn Stavang"
    },
    {
      "affiliations": [
        "Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway",
        "Helsetorget GP Practice, Bergen, Norway"
      ],
      "name": "Kjetil Hagerup"
    },
    {
      "affiliations": [
        "Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway",
        "Department of Medicine, Section of Clinical Nutrition, Haukeland University Hospital, Bergen, Norway"
      ],
      "name": "Åshild Teigland Tepstad"
    },
    {
      "affiliations": [
        "Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway",
        "Department of Nursing and Health Promotion Acute and Critical Illness, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway"
      ],
      "name": "Ann Kristin Sandsbakk Austarheim"
    },
    {
      "affiliations": [
        "Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway",
        "King's Health Economics, Health Service, and Population Research Department, King’s College London, London, UK"
      ],
      "name": "Andy Healey"
    },
    {
      "affiliations": [
        "Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway",
        "Department of Medicine, National University Hospital, Singapore"
      ],
      "name": "Nick Sevdalis"
    },
    {
      "affiliations": [
        "Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway",
        "Department of Nursing and Health Promotion Acute and Critical Illness, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway"
      ],
      "name": "Arvid Steinar Haugen"
    }
  ],
  "title": "Surgical patients’ experiences with the Patients’ Safety Checklist (PASC): a qualitative interview study",
  "uid": "3241a92f-4d5a-551d-8126-2858e2ec22a5"
}